透析套管针在免疫吸附临床应用中的研究

目的 观察透析套管针在免疫吸附中的应用效果.方法 将40例需行免疫吸附的患者分为观察组和对照组,每组20例.观察组采用Clampcath套管针作为临时血管通路进行免疫吸附,对照组采用可采血16G的留置针作为临时血管通路进行免疫吸附,比较两组免疫吸附时血流量、堵管率、打折率,留管时间.结果 观察组的堵管率、打折率明显低于对照组,差异有统计学意义(P＜0.05);观察组的血流量、留管时间大于对照组,差异均有统计学意义(P＜0.05).结论 透析套管针作为临时血管通路进行免疫吸附,其操作简单,材料经济实惠,具有堵管率低、打折率低、留管时间长、血流量充足,减轻患者痛苦,减少资源浪费等优点,值得临床推广.

Research report of the clinical application effect of Clampcath trocar in immune adsorption

Objective To observe the application effect of Clampcath trocar in immune adsorption.Methods A tatol of 40 patients underwent immune adsorption in our hospital were divided into the observation group and the control group according to the random number table method,with 20 cases in each group.In the observation group,20 cases were treated with Clampcath trocar as temporary vascular access for immune adsorption,and in the control group,20 cases were treated with 16 G indwelling needle as temporary vascular access for immune adsorption.The blood flow,tube plugging rate,discount rate,indwelling time of immune adsorption of patients in each group were compared.Results The tube blocking rate and discount rate of the observation group were significantly lower than that of the control group (P＜0.05),the difference wasstatistically significant;in the observation group,the blood flow was significantly higher than that in the control group (P＜ 0.01),the indwelling time of the observation group was longer than that of the control group (P＜0.05),the difference was statistically significant.Conclusion Clampcath trocar could be used as temporary vascular access for immune adsorption,of which the operation is simple,and is cheap and affordable.Meanwhile,it has advantages include low tube plugging rate and discount rate,long indwelling time and sufficient blood flow,thus it could alleviate the suffering of patients and reduce the waste of resources,and it's worthy of clinical promotion.